Subpectoral-subfascial breast augmentation for thin-skinned patients

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Augmentation

Background:

• Thin patients often experience implant visibility and rippling with standard submuscular placement due to insufficient soft tissue coverage.
• Lack of muscle coverage in the inferolateral breast area is a common challenge in submuscular breast augmentation.

Purpose of the Study:

• To evaluate a novel subpectoral-subfascial breast augmentation technique for thin patients.
• To improve aesthetic outcomes by addressing implant visibility and palpability in thin patients.

Main Methods:

• A subpectoral-subfascial approach was used in 62 thin patients with hypomastia and limited pinch test results.
• A combined fascial flap dissection of rectus abdominis, external oblique, and serratus anterior muscles covered the inferolateral implant aspect.

Main Results:

• The technique provided satisfactory, reproducible, and predictable results in all patients.
• Implants remained non-palpable and non-visible during a mean 19-month follow-up.
• Excellent upper and lower pole coverage was achieved, enhancing the natural breast shape.

Conclusions:

• The subpectoral-subfascial technique offers superior implant coverage and aesthetic results for thin patients.
• This method effectively eliminates implant palpability and rippling, providing a natural breast appearance.